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The report was uncontrolled, unblinded, not randomized, had no comparator arm, used patient-reported outcomes rather than validated pain instruments, and did not publish dose, effect size, confidence intervals, p-values, or systematically collected adverse events — limitations that severely constrain any clinical inference

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[1] Synovial fluid from the affected joint can be examined for crystals, which can help distinguish uric acid crystals from infection and is the best test to diagnose gout